Active NPI
Scott Ege, P.T.
- Physical Therapist
- Rockton, IL
National Provider Identifier
1235272113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 223 Colebrook PL
Rockton, IL 61072-2996 - Phone
- (815) 988-7588
- Fax
- (815) 624-8684
- NPI assigned
- Feb 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Primary |
Addresses
Primary practice location
223 Colebrook PL
Rockton, IL 61072-2996
Mailing address
PO Box 603
Rockton, IL 61072-0603
Phone (815) 988-7588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10132106 | Other | IL | BCBSIL PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-006248 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235272113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603",
"city": "ROCKTON",
"state": "IL",
"postal_code": "610720603",
"telephone_number": "815-988-7588",
"fax_number": "815-624-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 COLEBROOK PL",
"city": "ROCKTON",
"state": "IL",
"postal_code": "610722996",
"telephone_number": "815-988-7588",
"fax_number": "815-624-8684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGE",
"first_name": "SCOTT",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSIL PROVIDER NUMBER",
"identifier": "10132106",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.